CERTIFICATE OF ORIGIN

1. Good consigned form ( Exported’s business Reference No.

name, address, country )
11143549
VIETNAM BLACK TEA CO. LTD
CERTIFICATE OF ORIGIN
VINH PHUC, VIET NAM ( Combined declaration and certificate)

FORM B
Issued in Vietnam

2. Goods consigned to ( Consigned’s name, 4. Competent authority (name, address,

address, country ) country)

DAMACUSHERS CO.,LTD VIETNAM CHAMBER OF COMMERGE AND

DAMASCUS, SYRIA INDUSTRY

9 DAO DUY ANH – HANOI-VIETNAM

3. Mean of transport and route ( as far as 5. For official use

know)

BY SEA

FORM : HAI PHONG, VIET NAM

TO : TARTOUS, SYRIA

7. Gross weight 8. Number and

or other quantily date of invoices

G.W : 35.650.00 01FG-KAB/11

KGS
MAY, 26, 2024
9.Certification
It is hereby certified, on the basis of control cariried out, that the
declaration by the exporter is correct
10. Declaration by the exporter
The undersigned hereby declares that be above details and
statements are correct; that all the goods were produced in
Vietnam and they comply with the origin requirements specified
for goods exported to
( importing country)